S. Gupta et Sk. Gupta, ACUTE CECAL VOLVULUS - REPORT OF 22 CASES AND REVIEW OF LITERATURE, The Italian Journal of Gastroenterology, 25(7), 1993, pp. 380-384
The management of 22 patients with acute caecal volvulus is described
along with a review of literature. The preoperative diagnosis of caeca
l volvulus was made in 60 percent of the cases based on clinical findi
ngs and plain abdominal roentgenograms. Eleven patients had signs of p
eritonitis either due to gangrene or perforation of the caecum. On lap
arotomy all patients had mobile caecum but precipitating factors were
not evident in any patient. The authors recommend resection and primar
y end-to-end ileocolic anastomosis in the presence of gangrene or perf
oration of the caecum. Zn non-complicated cases of caecal volvulus, de
torsion and caecopexy are preferable because of low mortality, morbidi
ty and recurrence rates.